Provider Demographics
NPI:1861457699
Name:PALFREY, DEBRA L (PA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:PALFREY
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:90 LIBBEY PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3129
Mailing Address - Country:US
Mailing Address - Phone:339-201-4120
Mailing Address - Fax:339-201-4122
Practice Address - Street 1:90 LIBBEY PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3129
Practice Address - Country:US
Practice Address - Phone:339-201-4120
Practice Address - Fax:339-201-4122
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2013-03-29
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Provider Licenses
StateLicense IDTaxonomies
MA95363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAP0173Medicare PIN